Flexible Spending Accounts


FSA Program Guides, Brochures & Forms

Brochures and Enrollment/Change Forms

Plan Year 2017

Plan Year 2016

Procedures Guide

Plan Year 2017

Plan Year 2016


FSA Claims Forms

Please direct all written inquiries/correspondence and claims to the following mailing address:

New York City Flexible Spending Accounts Program
Bowling Green Station
P.O. Box 707
New York, NY 10274

Plan Year 2017

Plan Year 2016

Lost Check Claim

To submit a claim for a lost check from the Deferred Compensation Plan, the Management Benefits Fund, the Dependent Care Assistance Program, or the Health Care Flexible Spending Account Program.